Healthcare Provider Details

I. General information

NPI: 1760272843
Provider Name (Legal Business Name): SISTER'S WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROSEFIELD AVE
LEESBURG FL
34748-5014
US

IV. Provider business mailing address

5025 BRICKWOOD RISE DR
WIMAUMA FL
33598-4156
US

V. Phone/Fax

Practice location:
  • Phone: 313-600-6325
  • Fax:
Mailing address:
  • Phone: 313-600-6325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. LIZA MICHELLE ARNOLD
Title or Position: OWNER
Credential:
Phone: 313-600-6325